Student Drugs Flashcards
Activated charcoal- presentation
50g in 250ml bottle
Activated charcoal- indications
Ingested toxins/oral drug overdose under an hour ago/ irrespective of time if toxbase allows use
Activated charcoal- contraindications
Under 1
Unable to swallow/ unconscious
Vomiting patients
Patients with reduced gastrointestinal intestinal mobility
Recent abdominal surgery
Ethanol/cyanide/corrosive poisoning
Activated charcoal-
Side effects
Black stools, intestinal obstruction
Activated charcoal- dosage
50g in 250ml, drink all
Encourage children to drink half, but they drink full amount in extreme circumstances
No repeat dose
Aspirin- indications
ECG evidence of MI/ ischaemia/ suspected TIA
Analgesia for cardiac chest pain (antiplatelet/ vasodilator)
Aspirin- contraindications
Allergy
Children under 16
GI Bleed
Haemophilia/ clotting disorders
Hepatic failure
Aspirin- side effects
Risk of GI bleed
Wheezing in asthmatics
Aspirin- dosage
300mg chewable tablet
No repeat dose
Nitrous oxide- indications
Analgesia- moderate/severe pain, labour pain
Nitrous oxide- contraindications
Head injury/ chest injury eg tension pneumothorax
Abdo pain- intestinal obstruction
Decompression sickness (diving in last 24 hours)
Disturbed psychiatric patients
Intraocular injection in last 8 weeks
Nitrous oxide- dosage
Self administer via face mask/ mouthpiece, 3-5 mins to be effective
50% oxygen 50% nitrous oxide (entonox)
Oxygen- indications
COPD
Sats below normal range (94-100%)
Hypoxia
Critical illnesses requiring high levels of supplemental oxygen eg cardiac arrest/ anaphylaxis
Oxygen- contraindications
Explosive environment
Oxygen- side effects
Mouth dryness, hypoxic drive in COPD patients
Oxygen- dosage
Measure Sp02 levels, administer oxygen until a reliable Sp02 reading is obtained
All children with significant illness/injury should have high levels of supplementary oxygen
Chlorphenamine- indications
Relieve uncomfortable symptoms of anaphylaxis/allergic reactions/ antihistamine
Chlorphenamine- contraindications
Known hypersensitivity
Chlorphenamine - side effects
Sedation, headache, blurred vision, urinary retention
Chlorphenamine- cautions
Glaucoma, pregnancy/ breastfeeding, hypotension, epilepsy, severe liver disease
Chlorphenamine- dosage
4mg tablet/ 2mg in 5ml solution IM
No repeat dose
Glyceryl trinitate (GTN)- indications
Cardiac chest pain caused by angina/MI/ischaemia
Vasodilator